http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
한상욱,박재갑,김태헌,송인성,정현채,최규완,김정룡,한철주,윤용범,장유현,신건성,조창락 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.3
The prevalence of colon cancer is increasing in Korea and the principal strategy of its management is early detection and surgical resection. For the early detection of colon cancer, endoscopic evaluation is important and the ability to find out early stage small lesion is needed for the endoscopist. To find out encloscopic features of early colon cancer, we reviewed 17 cases of early colon cancer who have admitted to Seoul National University Hospital from January 1982 to December 1993. 1)59% of the lesions were located in rectum and the size ranged from 0.7cm to 9cm, all of the 17 cases showed polypoid mass contour and the surface of them had erosion, hyperemia, ulceration and easy touch bleeding tendency. 2) Colon cancer was diagnosed by endoscopic gross findings in 41% and endoscopic biopsy could confirm colon cancer in 70%. However, barium enema could diagnose only 41% of early colon cancer. 3) Five cases were operated under the diagnosis of colonic adenoma which were large($gt;3 cm) villous type or contained severe dysplasia 4) Submucosal tumor infiltration was found in 10 cases and 65% had associated adenoma 5) Lymph node involvement was none and there was no recurrence in 47 month follow up period after various surgical treatments.
김태헌,송인성,정현채,최규완,김정룡,한철주,이동수,장유현,신건성,조창락 대한내과학회 1996 대한내과학회지 Vol.50 No.1
Hypoalbuminemia due to gastrointestinal loss of protein has been reported in association with many pathologic conditions of stomach and bowel. We have recently experienced a 63 year old man with stomach cancer presenting with generalized edema. The patient .had severe hypoalbuminemia and we confirmed protein loss through the gastric mucosa as its cause by ^(99m)Tc labled albumin scan and alpha 1 antitrypsin clearance test. The possiblility of other coincidental gastrointestinal lesion was excluded. After total gastrectomy, hypoalbuminemia was corrected to normal range without replacement of albumin and follow up albumin scan revealed no albumin loss. To our knowledge there have been a few case reports of protein losing gastroenteropathy due to stomach cancer. Therefore, it is recommended to exclude cancer at first, when an etiologic diagnosis is scheduled for the differentiation of protein losing enteropathy in this country.
이대희,이동호,송인성,정현채,최규완,김정룡,한철주,윤용범,장유현,신건성,조창락,황경국,김태현,전재석 대한내과학회 1996 대한내과학회지 Vol.50 No.6
The most common complications of chronic pancreatitis are pancreatic calcification, diabetes mellitus, steatorrhea, pancreatic pseudocyst and upper gastrointestinal bleeding. Pesudoaneurysm whether with pseudocyst or nat may cause gasrointestinal bleeding and it is a serious complication. Erosion of visceral artery with pseudoaneurysm formation may bleed into pancreatic duct which is known as $quot;emosuccus Pancreaticus$quot;. On rare occasions, pseudoaneurysm may bleed into adjacent organs (stomach, duodenum, colon). A 56-year-old man was admitted to Seoul National University Hospital with repeaoted hematemesis. With repeated gastroscopy, we found submucosal tumor like lesion in the stomach. Computed tomography and celiac angiography showed splenic artery pseudoaneurysm, which at operation was found to have ruptured into the stomach. The pseudoaneurysm and spleen were removed and the patient has had no further bleeding. When gastrointestinal bleeding is associated with chronic pancreatitis and the usual sources of bleeding are not detected by endoscopy, the rupture of a pseudoaneurysm schould be considered as one of the causes.
김태헌,송인성,정현채,최규완,이준행,김정룡,한철주,장유현,신건성,조창락,임영석 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.3
The endoscopic diagnosis of gastric carcinoid has been considered difficult. Reported cases of this tumor diagnosed by endoscopic examination are rare. And the gastric carcinoid with massive upper gastrointestinal bleeding is a rare disease entity. We experienced a case of gastric carcinoid admitted to the hospital because of hematemesis, melena and syncope. And it was diagnosed by endoscopic biopsy, although it resembled type IIa+IIc early gastric cancer at endoscopic examination. To our knowledge, this is the first case report of gastric carcinoid tumor mimicking early gastric cancer. So we report this case with a review of relevant literatures.
표면평탄형 조기위암 (EGC IIb) 의 내시경적 소견
이동호,김태헌,송인성,김용태,정현채,김용일,최규완,김정룡,한철주,윤용범,장유현,김선미,신건성,조창락 대한소화기내시경학회 1995 Clinical Endoscopy Vol.15 No.3
Early gastric cancer(EGC) has been proved to be a malignant tumor with favorable prognosis in contrast to the advanced one, thus early diagnosis has always been the emphasis regardless its type. In particular, diagnosis of superficial flat type EGC(IIb) is extremely difficult on gross inspection. The aim of this study is to review the clinical features of the patients with EGC type IIb, with special reference to the endoscopic appearance of tumor. We reviewed the medical records and endoscopic findings of 13 patients which were thereafter surgically resected and pathologically proven EGC type IIb at SNUH from 1989 to 1993. The depressed lesion was observed most frequently in EGC type IIb. The endoscopic suggestion of EGC type IIb were given initially with mucosal bleeding and discoloration. In 3 cases (20%), tumor extended to the submucosa and in only 1 case, lymph node metastasis was found. Four patients(30.9%) had another coincidental EGC or peptic ulcer. Every possible effort is needed not to omit the resectable cancer when the mucosal bleeding and discoloration is observed. Careful observation is recommended not to overlook coincidental lesions.